CMS Price Transparency Data
New patient office visit (30-44 min)
Facility: Marshfield Medical Center
Billing Code: 99203 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$158
about 1.3× the $118 Medicare rate · typically $82–$364
modeled estimate · not a bill or quote
Medicare pays $118 Fair price $158 Cash price $151 Hospital's list price $159
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| UnitedHealthcaremajor | $96 - $193 | 82% |
| Blue Cross Blue Shieldmajor | $81 - $443 | 69% |
| Aetnamajor | $102 - $204 | 87% |
| Cignamajor | $100 - $199 | 85% |
| HealthPartners | $101 - $201 | 86% |
| Medica | $98 - $201 | 83% |
| Molina | $90 - $180 | 77% |
| Sanford Health Plan | $58 - $117 | 49% |
| Security Health Plan | $107 - $158 | 91% |
| + 9 smaller / regional plans | $53 - $205 |
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Marshfield Medical Center
Compare: New patient office visit (30-44 min) at other WI hospitals
- Beloit Health System · Beloit $70
- Black River Memorial Hospital · Black River Falls $71
- Tomah Memorial Hospital · Tomah $74
- Crossing Rivers Health Medical Center · Prairie Du Chien $74
- Richland Hospital · Richland Center $74
- Stoughton Hospital · Stoughton $76
- Vernon Memorial Hospital · Viroqua $79
- Aurora Medical Ctr Manitowoc County · Two Rivers $82
Insurance negotiated median for the same procedure, sorted lowest first.